MRS. KRISTINE MARIE PROCTOR (NPI# 1588715957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588715957 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINE MARIE PROCTOR |
| Credential | LMP,MMP |
| Practice Address |
13210 Se 240th St Suite A-4 Kent WA 98042-5182 |
| Mailing Address |
17118 Se 181st Pl Renton WA 98058-8759 |
| Practice Telephone | 2536311118 |
| Mailing Telephone | 4258308308 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00018749 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0182527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552502 | Kristine Louise Proctor | Social Worker | 3408 Niles Rd, Saint Joseph, MI 49085-9601 | 2010-07-05 |
| Street Address |
13210 SE 240TH ST SUITE A-4 |
| City | KENT |
| State | WA |
| Zip Code | 98042-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424396 | Susan M Hollinsworth | Dentist | 13210 Se 240th St, Ste B3, Kent, WA 98042-5182 | 2005-06-01 |
| 1295083632 | John Beack Dmd Ps | Clinic/Center | 13210 Se 240th St, Suite B1, Kent, WA 98042-5182 | 2012-08-15 |
| 1487979217 | Kenna Marie Hadden | Dietitian, Registered | 13210 Se 240th St, Kent, WA 98042-5182 | 2010-04-05 |
| 1659415958 | Leland Bradley Dawson | Dentist | 13210 Se 240th St, Suite B1, Kent, WA 98042-5182 | 2007-02-19 |
| 1689718991 | Leland B. Dawson Dds, Ps | Dentist | 13210 Se 240th St, Suite B1, Kent, WA 98042-5182 | 2007-02-19 |
| 1992843296 | Anna M Giustozzi | Legal Medicine | 13210 Se 240th St, A6, Kent, WA 98042-5182 | 2007-02-01 |
| 1295873578 | Dan E Ranniger Md Ps Inc | Legal Medicine | 13210 Se 240th St, A6, Kent, WA 98042-5182 | 2007-02-01 |
| 1245377241 | Meridian Valley Chiropractic Clinic, Ps | Chiropractor | 13210 Se 240th St, Suite A-4, Kent, WA 98042-5182 | 2007-01-31 |
| 1124182688 | Carey Michael Hughes | Chiropractor | 13210 Se 240th St, Suite A-4, Kent, WA 98042-5182 | 2006-12-20 |
| 1407881998 | Valley Handworks Inc | Occupational Therapist | 13210 Se 240th St, Suite C1, Kent, WA 98042-5182 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366982761 | Estrellita Wagner- Villasenor | Specialist | 21413 111th Ct Se, Kent, WA 98031-2190 | 2017-03-03 |
| 1497125116 | Mariah Rock | Specialist | 12911 Southeast Kent Kangley Road, Kent, WA 98030 | 2015-10-07 |
| 1508251620 | Lori Michele Williams | Specialist | 524 W Meeker St Ste 4, Kent, WA 98032-5766 | 2015-04-06 |
| 1982012266 | Bed Bug Burners, LLC | Specialist | 330 Tallmadge Rd., Unit F2, Kent, OH 44240 | 2014-07-30 |
| 1922433515 | Ernest Fatta | Specialist | 23501 112th Ave Se, M102, Kent, WA 98031-3409 | 2013-09-13 |
| 1598018269 | Leslie Wiersum | Specialist | 12033 Se 256th Street, Kent, WA 98030 | 2012-10-18 |
| 1528318862 | Mary Margaret Altena | Specialist | 4014 S 270th St, Kent, WA 98032-7139 | 2012-09-13 |
| 1164797759 | Lisa Marie Shepard | Specialist | 21245 110th Ave Se, Kent, WA 98031-2145 | 2012-03-14 |
| 1629352752 | Brianna Dean | Specialist | 20430 95th Ave S, Kent, WA 98031-1464 | 2011-10-07 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.